LEONID G PEVZNER (NPI# 1508040569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508040569 |
| Entity Type | Individual |
| Full Name | LEONID G PEVZNER |
| Credential | RPH |
| Practice Address |
2819 Church Ave Rite Aid Brooklyn NY 11228 |
| Mailing Address |
2819 Church Ave Rite Aid Brooklyn NY 11226 |
| Practice Telephone | 7189403461 |
| Mailing Telephone | 7189403461 |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 0465501 | NY | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01796143 | 05 |
| Street Address |
2819 CHURCH AVE RITE AID |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215451422 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2819 Church Ave, Brooklyn, NY 11226-4168 | 2017-07-29 |
| 1255600466 | Aymen Hisham Jaber | Pharmacist | 2819 Church Ave, Brooklyn, NY 11226-4168 | 2011-12-16 |
| 1912164997 | Sandra E Amorin | Pharmacist | 2819 Church Ave, Brooklyn, Brooklyn, NY 11226-4168 | 2008-05-19 |
| 1871778621 | Beverly Ann Watson | Pharmacist | 2819 Church Ave, Brooklyn, NY 11226-4168 | 2007-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891343356 | Jeannine M Tomaselli | Social Worker | Brooklyn Counseling Services, 7316 13th Ave 3rd Floor, Brooklyn, NY 11228 | 2019-08-28 |
| 1316446784 | Dyker Chemist | Pharmacy | 7313 13th Ave, Brooklyn, NY 11228 | 2018-02-12 |
| 1689190837 | Flor D Munoz | Developmental Therapist | 1533 73rd St, Apt 2f, Brooklyn, NY 11228 | 2017-08-19 |
| 1477076479 | Joseph Richard Podraza | Registered Nurse | 1225 69th Street, Brooklyn, NY 11228 | 2017-07-21 |
| 1609398262 | Kids Growth Corp | Early Intervention Provider Agency | 1555 77th Street, Brooklyn, NY 11228 | 2017-07-14 |
| 1962946087 | Amarildo Ziu | Pharmacist | 1532 86th Street, Brooklyn, NY 11228 | 2016-12-08 |
| 1285177030 | Francesca Pucci | Speech-Language Pathologist | 1247 71st St, Brooklyn, NY 11228 | 2016-11-28 |
| 1396104782 | Chris Molluso | Behavioral Analyst | 45 Bay 7th, Brooklyn, NY 11228 | 2016-02-15 |
| 1285003848 | Neighborhood Counseling Center | Community/Behavioral Health | 7706 13th Avenue, Brooklyn, NY 11228 | 2015-09-24 |
| 1780080051 | Allison Kaplon Speech and Language Therapy, P.C. | Clinic/Center | 1275 81st Street, Brooklyn, NY 11228 | 2014-11-13 |
| Find all providers in zip 11228 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859491 | Iman Nagi Yahia | Pharmacist | 182 17th St Apt 2, Brooklyn, NY 11215-5374 | 2020-10-21 |
| 1518566827 | Vinson Eng | Pharmacist | 2629 Ocean Ave, Brooklyn, NY 11229-4552 | 2020-10-19 |
| 1114526324 | Victoria Wong | Pharmacist | 2643 E 18th St, Brooklyn, NY 11235-3625 | 2020-10-19 |
| 1487253803 | Michelle Liao | Pharmacist | 1845 Shore Pkwy, Brooklyn, NY 11214-6628 | 2020-10-19 |
| 1417563271 | Kareem Abdelhadi | Pharmacist | 482 E 2nd St, Brooklyn, NY 11218-4504 | 2020-09-17 |
| 1447862495 | Pamella Pisahov | Pharmacist | 1699 E 34th St, Brooklyn, NY 11234-4222 | 2020-08-20 |
| 1013527878 | Amanda Ye | Pharmacist | 1152 67th St Apt 3b, Brooklyn, NY 11219-5949 | 2020-08-06 |
| 1710503891 | Sinai Marisol Polanco Diaz | Pharmacist | 28 Nichols Ave, Brooklyn, NY 11208-1510 | 2020-06-24 |
| 1588284541 | Melissa Aristide | Pharmacist | 1403 E 88th St, Brooklyn, NY 11236-5119 | 2020-04-20 |
| 1255960852 | Michelle Isabella Zeltser | Pharmacist | 2821 Batchelder St, Brooklyn, NY 11235-1897 | 2020-04-06 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.